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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. MICHAEL ANGEL DICRISTINA, M.D.

Deactivated Sole Proprietor

DR. MICHAEL ANGEL DICRISTINA, M.D. is a Internal Medicine healthcare provider located in RIVERDALE, Georgia. NPI 1144226135 is deactivated in the NPPES registry. Verify at CMS.

Internal Medicine · RIVERDALE, GA

This NPI has been deactivated. The record was deactivated on March 16, 2006. Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated. Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.

Registration Details

NPI Number
1144226135
Provider Type
Individual
Gender
Male
NPI Issued
Jun 23, 2005 (0.72876712328767 yrs)
Last Updated
Jun 8, 2015
Deactivated
Mar 16, 2006
License
022223 (GA)
Sole Proprietor
Yes

Practice Information

Address
33 UPPER RIVERDALE RD SW
SUITE 21
RIVERDALE, GA, 302742626
Browse GA providers · Browse ZIP 30274
Phone
7709687933
Fax
7709686521
Primary Specialty
Internal Medicine
207R00000X

Other Internal Medicine Providers in RIVERDALE, GA

Name Credential NPI
DR. RICHARD I WRIGHT MD 1770573552
DR. ELOY EDILBERTO DIAZ SR. M.D. 1063461051
DR. ANITA BASIL VARKEY MD 1265477822
CLAIRE K WILLIE MD 1790711141
IFEOMA L. OKAFOR M.D. 1033226832
PAUL L HARVEY MD 1053410357
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.